MS. MARIBETH DIPPIE ETHRIDGE-HICKS (NPI# 1447863063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447863063 |
| Entity Type | Individual |
| Full Name | MS. MARIBETH DIPPIE ETHRIDGE-HICKS |
| Practice Address |
206 W 5th St Metropolis IL 62960-1810 |
| Mailing Address |
985 Bethlehem Church Ln Vienna IL 62995-3717 |
| Practice Telephone | 6185249368 |
| Mailing Telephone | 6187713698 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
206 W 5TH ST |
| City | METROPOLIS |
| State | IL |
| Zip Code | 62960-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902419583 | Brittney Lynn Woods | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-08-25 |
| 1093327322 | Jessica Weaver | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-08-18 |
| 1023636479 | Jennea Harris | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-07-13 |
| 1831725050 | Shantaye Powell | Social Worker | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-03-19 |
| 1699306332 | Kelsey Mcnichols | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-01-31 |
| 1649827155 | Tina Michelle Mathis | Social Worker | 206 W 5th St, Metropolis, IL 62960-1810 | 2019-08-20 |
| 1376190884 | Lily Madison Holland | Social Worker | 206 W 5th St, Metropolis, IL 62960-1810 | 2019-08-20 |
| 1629530498 | Cicely Ronielle Shelton | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2019-04-02 |
| 1013471424 | Dylan Wade Street | Student in an Organized Health Care Education/Training Program | 206 W 5th St, Metropolis, IL 62960-1810 | 2019-01-30 |
| 1336603877 | Cynthia Lynn Dunevnt | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2019-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972069078 | Amber Nicole Garcia | Social Worker | 205 W 5th Street, Metropolis, IL 62960 | 2019-02-13 |
| 1407251622 | Massac County Surgery Center LLC | Clinic/Center | 1811 E 5th St, Metropolis, IL 62960 | 2014-10-30 |
| 1750535761 | Robert Hays Bryan | Dentist | 805 Market St., Metropolis, IL 62960 | 2008-11-05 |
| 1518144682 | Rebecca Louise Mcquage | Counselor | 206 West 5th St, Metropolis, IL 62960 | 2008-01-30 |
| 1154640902 | Syed S Kazmi | Family Medicine | 12 Hospital Drive, Metropolis, IL 62960 | 2007-04-20 |
| 1083736680 | Bharat K Patel Sc | Internal Medicine | 12 Hospital Dr., Memorial Heights, Metropolis, IL 62960 | 2007-04-04 |
| 1467594747 | Peggy Sue Legereit | Speech-Language Pathologist | 3037 Lakeview Dr, Metropolis, IL 62960 | 2007-02-13 |
| 1821150475 | Ruth E Johnson | Counselor | 206 West 5th, Metropolis, IL 62960 | 2006-12-13 |
| 1720140379 | James Allen Haley | Counselor | 206 West 5th Street, Metropolis, IL 62960 | 2006-12-13 |
| 1659432185 | Gary T Brush | Optometrist | 1801 E 5th Street, Metropolis, IL 62960 | 2006-12-12 |
| Find all providers in zip 62960 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285904987 | Tena Meeks | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2012-01-11 |
| 1851414387 | Mona R Hoyle | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
| 1093322638 | New Horizon Mental and Behavioral Services | Counselor | 12052 S Lockwood Ave, Alsip, IL 60803-3165 | 2020-09-28 |
| 1780299818 | Sophia Bilikovsky | Counselor | 3025 Monterey Ln, Wadsworth, IL 60083-8924 | 2020-09-15 |
| 1497360697 | Cassandra Lynn Wegner | Counselor | 2529 Ravinia Ln, Woodridge, IL 60517-2241 | 2020-09-14 |
| 1831703131 | Colleen Mertens | Counselor | 100 Tower Dr Ste 236, Burr Ridge, IL 60527-5787 | 2020-09-03 |
| 1073127775 | Deborah Lynn Dettman | Counselor | 1209 W Sherwin Ave Apt 809, Chicago, IL 60626-2257 | 2020-09-01 |
| 1417574203 | Kathy O Valentin | Counselor | 1640 Pleasant Ln, Glenview, IL 60025-1847 | 2020-06-29 |
| 1669098844 | James Earl Brooks I | Counselor | 523 Clark St, South Beloit, IL 61080-1317 | 2020-06-23 |
| 1780200014 | Anchorpoint Adolescent Consultant Group Inc. | Counselor | 1246 N Yale Ave, Arlington Heights, IL 60004-4564 | 2020-06-23 |
| 1891311502 | Ashlie Jones | Counselor | 3226 Hoffman St, Plano, IL 60545-1992 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
| City | METROPOLIS |
| Zip Code | 62960 |
Please comment or provide details below to improve the information on MS. MARIBETH DIPPIE ETHRIDGE-HICKS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.